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In people with emphysema, the air sacs in the lungs (alveoli) are damaged." Symptoms of emphysema include shortness of breath, fingernails that turn blue or gray, and not being mentally alert, per Mayo Clinic

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Poisson regression analysis was used to estimate the risk ratios (RRs) with 95% confidence intervals (CIs) for 12 subtypes of congenital anomalies associated with the timing (i.e., before pregnancy, and during three different trimesters of pregnancy) and intensity (i.e., number of cigarettes consumed per day) of maternal cigarette smoking

[53] See RSA 178:26 and the New Hampshire Annual Comprehensive Financial Report for the Fiscal Year Ended June 30, 2023, page 148

In a head-to-head comparison, it becomes evident that both cigars and cigarettes take a toll on oral health